Provider Demographics
NPI:1467715409
Name:SAREMI, SEPIDEH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SEPIDEH
Middle Name:
Last Name:SAREMI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SEPIDEH
Other - Middle Name:
Other - Last Name:SAREMI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:9663 SANTA MONICA BLVD
Mailing Address - Street 2:STE. 1176
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4303
Mailing Address - Country:US
Mailing Address - Phone:424-270-5427
Mailing Address - Fax:
Practice Address - Street 1:9663 SANTA MONICA BLVD
Practice Address - Street 2:STE. 1176
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4303
Practice Address - Country:US
Practice Address - Phone:424-270-5427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 665101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical